Provider Demographics
NPI:1609803451
Name:CARR, WILLIAM RICHARD (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RICHARD
Last Name:CARR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6233 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3005
Mailing Address - Country:US
Mailing Address - Phone:941-713-4250
Mailing Address - Fax:941-739-9575
Practice Address - Street 1:7313 52ND PL E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-8915
Practice Address - Country:US
Practice Address - Phone:941-758-4902
Practice Address - Fax:941-739-9575
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOP2983152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist